A list of the most recent deficiencies for Smith Crossing. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-29 | 2023-09-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-29 | 2023-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-29 | 2023-09-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-29 | 2023-09-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-29 | 2023-09-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-17 | 2023-09-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-17 | 2023-09-01 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-08-17 | 2023-09-01 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-08-17 | 2023-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-17 | 2023-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-10 | 2023-08-25 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-17 | 2023-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-15 | 2022-12-12 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-05 | 2022-07-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-24 | 2022-07-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-24 | 2022-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-24 | 2022-07-21 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-24 | 2022-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-24 | 2022-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-21 | 2021-11-16 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-21 | 2021-11-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-12 | 2021-06-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-05-12 | 2021-06-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-12 | 2021-06-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-12 | 2021-06-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-12 | 2021-06-02 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-06 | 2021-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-05-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-06 | 2021-05-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-05-06 | 2021-05-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-06 | 2021-05-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-05-06 | 2021-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-05-24 | N |
